NEHW REGISTRATION

    Hawk Migration Conference - March 18,2006
    Holyoke Community College, Holyoke, MA

Please print out and complete this form, and mail to John Weeks
with your check. We cannot accept registration by email.

Please print.

Name ___________________________________________
Affiliation ____________________________________________
Address ______________________________________________
City _________________________________________________
State _________________________ Zip ____________________
Phone ________________________________________________
email ______________________________________________
                                                             
Please complete:  

Registration Fee:
        Number attending ______  @ $32.00 each (member) = ____________

                                                    @ $38.00 each (non-member) = __________
                     (Registration includes refreshment breaks.)

Optional Lunch:      Sandwich Platter Buffet
        Number of meat lunches ______            @     $10 each = ____________

        Number of vegetarian lunches ______   @     $10 each = ____________

                    NEHW Membership:   _____ years @ $10/ year  ____________

                                                                                         TOTAL ____________

Make checks payable to NEHW and mail to John Weeks, 51 Pheasant Run , North Granby, CT 06060.
  860-844-8965            Include a SASE if you would like a confirmation letter.

Please make your own hotel reservations.